Diagnosis dan Penatalaksanaan Abses Retrofaring pada Anak

Abstrak Pendahuluan: Abses retrofaring adalah terkumpulnya nanah di ruang retrofaring yang merupakan salah satu daerah potensial di leher dalam. Abses retrofaring merupakan kasus yang jarang tetapi dapat menyebabkan kematian terutama pada umur di bawah 5 tahun. Sejak ditemukannya antibiotika, angka kesakitan dan kematian akibat abses menurun drastis. Metode: Dilaporkan satu kasus abses retrofaring dengan riwayat ketulangan pada anak gizi kurang umur 9 tahun. Diagnosis ditegakkan berdasarkan anamnesis, pemeriksaan fisik dan pemeriksaan radiologi. Pada pemeriksaan foto polos jaringan lunak leher, terlihat gambaran pelebaran ruang retrofaring dan air fluid level. Diskusi: Penatalaksanaan meliputi pemberian antibiotika, drainase dan eksplorasi abses serta perbaikan keadaan umum. Kata kunci: abses retrofaring, benda asing, drainase Abstract Introduction: Retropharyngeal abscess is defined as accumulation pus in retropharyngeal space which is a potential area in deep neck space. Retropharyngeal abscess is a rare case but it can cause death especially in children under five years old. Since antibiotics were found, morbidity and mortality of this case was drastically decreased. Methods: A retropharyngeal abscess of child 9 years old with history of swallowed foreign body (fishbone) and lack of nutrition has been reported. Diagnosis was based on anamnesis, physical examination and radiographic finding. In soft tissue cervical radiograph we found, widening of retropharyngeal space with air fluid level. Discussion: Management for abscess is intravenous antibiotics, drainage and exploration abscess and improve general condition has been performed Keywords:Retropharyngeal abscess, foreign body, drainage

Download Full-text

Rare Case of Servelle Martorelle Syndrome

Kathmandu University Medical Journal ◽

10.3126/kumj.v10i4.11011 ◽

2014 ◽

Vol 10 (4) ◽

pp. 91-94

Author(s):

A Bhatnagar ◽

M Deshpande

Keyword(s):

Soft Tissue ◽

Upper Limb ◽

Rare Case ◽

Prompt Treatment ◽

Congenital Vascular Malformation ◽

History Of ◽

The Right ◽

Scapular Region

Servelle Martorelle Syndrome is a congenital vascular malformation associated with soft tissue hypertrophy and bony hypoplasia. This rarely involves whole of an extremity, with involvement of part of limbs reported in literature. We present a case of a twelve year boy who presented to the Department of Plastic Surgery SGPGIMS in April 2011 ,with history of circumferential soft tissue hypertrophy involving whole of left upper limb, scapular region and axilla since birth. The entire left upper limb length was lesser than the right upper limb. Hence this is a very rare case of Servelle Martorelle Syndrome having extensive limb involvement at a very young age. Highlighted is the role of conservative treatment and close follow-up to understand the natural history of the diseases, with prompt treatment of complications. DOI: http://dx.doi.org/10.3126/kumj.v10i4.11011 Kathmandu Univ Med J 2012;10(4):91-94

Download Full-text

Foreign body stone in oesophagus: a unique case

Health Renaissance ◽

10.3126/hren.v12i2.14120 ◽

2015 ◽

Vol 12 (2) ◽

pp. 140-142 ◽

Cited By ~ 2

Author(s):

B P Sah ◽

S T Chettri ◽

J N. Prasad ◽

P P Gupta ◽

S P Shah ◽

...

Keyword(s):

Foreign Body ◽

High Risk ◽

Rare Case ◽

Mentally Retarded ◽

Risk Groups ◽

High Index ◽

Common Occurrence ◽

Unique Case ◽

History Of ◽

High Index Of Suspicion

Foreign body ingestion is a common occurrence in children and in specific high-risk groups. It is usually diagnosed based on a history of ingestion given by the patient or an observer. However, children and mentally retarded adults may be unable to give an accurate history, and a high index of suspicion must be maintained in these groups. We report a rare case of foreign body stone in an mentally retarded adult which presented with drooling and impaired feeds, thence enabling for high index for suspicion. Health Renaissance 2014;12(2): pp: 140-142

Download Full-text

Foreign bodies in esophagus: our experiences

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20184692 ◽

2018 ◽

Vol 5 (1) ◽

pp. 83

Author(s):

A. G. Naveen Kumar

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Medical Science ◽

Final Diagnosis ◽

Retropharyngeal Abscess ◽

Research Centre ◽

Esophageal Foreign Body ◽

History Of ◽

Age Range ◽

Time Of Admission

Background: Foreign bodies in esophagus come as an emergency to otolaryngologist and needs to be removed at the earliest to prevent complications. The objective was to share our experience with esophageal foreign bodies removal in Sapthagiri Institute of Medical Science and Research Centre, Bangalore, India.Methods: Study of 84 patients admitted with the final diagnosis of esophageal foreign body during September 2011 – September 2018, for sex, age, diagnosis on admission, estimated duration and site of impaction, type and number of foreign body removed. Results: Over 7 years period, 84 patients (48 males and 36 females) of different ages, youngest being 02 years and oldest being 92 years were admitted with the diagnosis of esophageal foreign body. Fifty percent of patients were five years or less in age at the time of admission. 32.1% were between 5 to 14 years and 17.9% were between the age range of 60-92 years. Seven patients (2.9%) had a history of esophageal anomalies requiring operation. Different types of foreign bodies ingested most common being coin. Majority of foreign bodies (75/84, 89.2%) were located in the post cricoid and upper esophagus followed by the mid-esophagus, and only 3 cases involved the lower esophagus.Conclusions: The most common foreign bodies in children are coin and toys. Sharp foreign bodies are difficult remove but need to be removed carefully at the earliest to prevent dreaded complications like - retropharyngeal abscess and mediastinitis. Loose fitting dentures are common foreign body in elderly patients.

Download Full-text

DIAGNOSIS AND MANAGEMENT OF A FISH BONE FOREIGN BODY AT ESOPHAGEAL INTROITUS WITH AND WITHOUT RETROPHARYNGEAL ABSCESS

Majalah Kedokteran Andalas ◽

10.22338/mka.v38.i3.p238-247.2015 ◽

2015 ◽

Vol 38 (3) ◽

pp. 238

Author(s):

Ade Asyari ◽

Novialdi Novialdi ◽

Fachzi Fitri ◽

Yolazenia Yolazenia

Keyword(s):

Foreign Body ◽

Soft Tissue ◽

Lateral Position ◽

Fish Bone ◽

Retropharyngeal Abscess ◽

Intravenous Antibiotic ◽

Persistent Symptoms ◽

Fish Bones ◽

First Case ◽

Ingested Foreign Body

AbstrakBenda asing yang tertelan merupakan kegawatdaruratan di bidang telinga hidung tenggorok (THT). Tulang ikan merupakan salah satu benda asing di tenggorok yang banyak ditemukan. Abses retrofaring merupakan komplikasi yang sering terjadi akibat tersangkut benda asing ini. Foto polos leher posisi lateral perlu dilakukan untuk kecurigaan adanya lesi di daerah faring. Pasien dengan gejala menetap harus dievaluasi dengan endoskopi, walaupun pada pemeriksaan radiologi tidak tampak. Benda asing harus segera dikeluarkan untuk mencegah komplikasi lebih lanjut. Abses retrofaring diterapi dengan medikamentosa dan drainase pus. Jika terdapat benda asing harus dikeluarkan. Dilaporkan dua kasus benda asing tulang ikan di introitus esofagus. Kasus pertama pada seorang pasien laki-laki umur 42 tahun tanpa abses retrofaring dan kasus kedua pada anak laki-laki berusia 8 tahun dengan abses retrofaring. Tulang ikan terlihat pada ronsen foto leher jaringan lunak posisi lateral. Pada kedua pasien dilakukan esofagoskopi untuk mengambil tulang ikannya dan pada pasien kedua dengan abses retrofaring, absesnya sudah pecah dan pus didrainase dikombinasikan dengan pemberian antibiotik intravena.AbstractForeign body ingestion is an emergency in otorhinolaryngology. One of the most common ingested foreign body is a fish bone. Retropharyngeal abscess is well-documented complication from foreign body ingestion. The soft tissue neck radiograph lateral position is the most significant radiologic examination performed in a patient with a suspected pharyngeal lesion. In patient with persistent symptoms should be evaluated with endoscopy, although radiological examination was negative. We have to extract foreign body immediately to prevent further complication. Retropharyngeal abscess should be treated with medical and drainage of pus. If there is a foreign body must be removed. Two cases of a fish bone foreign body at esophageal introitus was reported. First case in 42 year-old male without retropharyngeal abscess and second case in 8 year-old boy with retropharyngeal abscess. Fish bones were seen from lateral neck soft tissue x-ray. Esophagoscopy were performed to removed fish bones and in the second patient, the abscess had ruptured and the pus was drainage as the treatment combined with intravenous antibiotic.

Download Full-text

A Rare Case of Hyper IgE Syndrome with Vocal Cords Involvement

Iranian Journal of Allergy Asthma and Immunology ◽

10.18502/ijaai.v18i2.926 ◽

2019 ◽

Author(s):

Samin Sharafian ◽

Masoud Movahedi ◽

Arash Kalantari ◽

Nima Parvaneh ◽

Mohammad Gharagozlou

Keyword(s):

Rare Case ◽

Immunoglobulin E ◽

Maculopapular Rash ◽

Primary Immunodeficiency Disease ◽

Surgical Removal ◽

Cutaneous Lesions ◽

Vocal Cords ◽

Intravenous Antibiotics ◽

History Of ◽

Immunodeficiency Disease

Hyperimmunoglobulin E syndrome (HIGE) is considered as a phagocytic or a newly classified complex and heterogeneous primary immunodeficiency disease with symptoms such as increased levels of immunoglobulin E, eczema, and, recurrent lung and skin infections. In this paper, we have presented a rare case of this syndrome. A 9-year-old Iranian girl presented with a history of pruritic maculopapular rash who was eventually diagnosed as a case of HIGE. In her recent admission, she had dysphonia, stridor and huge cauliflower cutaneous lesions on her neck, finger and vocal cords, which did not respond to intravenous antibiotics, and ultimately required surgical removal.

Download Full-text

Group B streptococcus sepsis in an infant presented with cellulitis of soft tissue of neck

BMJ Case Reports ◽

10.1136/bcr-2021-241683 ◽

2021 ◽

Vol 14 (8) ◽

pp. e241683

Author(s):

Muhammad Moazzam Gulzar ◽

Andrea Roman ◽

Rizwan Gul ◽

Nagabathula Ramesh

Keyword(s):

Soft Tissue ◽

Lymph Nodes ◽

Late Onset ◽

Group B Streptococcus ◽

Late Onset Sepsis ◽

Intravenous Antibiotics ◽

Early Onset Sepsis ◽

History Of ◽

Group B ◽

Tissue Oedema

We report a case of cellulitis of the soft tissue of the neck with group B streptococcus (GBS) sepsis in a 4-week-old baby boy presented with a 1-day history of fever, irritability and feed refusal. While in the hospital, a left-sided submandibular swelling extending to preauricular area started emerging, which progressed dramatically. Ultrasound scan of the neck confirmed inflammation of the underlying soft tissue while revealing multiple enlarged lymph nodes without any abscess formation and overlying soft tissue oedema. Blood cultures were flagged positive at 9 hours for GBS. The infant was treated with intravenous antibiotics for 2 weeks. GBS is considered a common cause of early-onset sepsis in neonates. However, it can also lead to late-onset sepsis in infancy with variable presentations. In our case, GBS sepsis manifested with cellulitis of the soft tissue of the neck along with swelling of local lymph nodes.

Download Full-text

Mediastinal tuberculosis in a 10-month-old child

The Journal of Laryngology & Otology ◽

10.1258/0022215011907622 ◽

2001 ◽

Vol 115 (2) ◽

pp. 161-163 ◽

Cited By ~ 7

Author(s):

Aftab Ahmed ◽

Showkat Mirza ◽

Michael P. Rothera

Keyword(s):

Foreign Body ◽

Airway Obstruction ◽

Rare Case ◽

Mediastinal Mass ◽

Histological Analysis ◽

Upper Airway ◽

Upper Airway Obstruction ◽

Mediastinal Lymphadenopathy ◽

X Rays ◽

History Of

We report a rare case of mediastinal tuberculosis in a child who presented as a possible inhaled foreign body. A 10-month-old girl was admitted with a five-month history of cough, wheeze and problematic feeding, thought initially to be due to asthma. A clinical deterioration and subsequent X-rays suggested an inhaled foreign body. However, at direct laryngotracheobronchoscopy no foreign body was found and subsequent investigations revealed a subcarinal mediastinal mass. She underwent a thoracotomy and excision of the mass, the histological analysis of which revealed it to be of tuberculous origin. When a patient presents with symtoms of upper airway obstruction which are highly suggestive of a foreign body, other causes such as mediastinal tuberculosis must be borne in mind when no foreign body can be found. Although rare, cases of tuberculosis are apparently increasing and the otolaryngolgoist must be aware of its various manifestations and submit specimens for appropriate analysis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.

Download Full-text

Intraorbital Wooden Foreign Body: A Case Report

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v3i3.12248 ◽

2015 ◽

Vol 3 (3) ◽

pp. 119-121 ◽

Cited By ~ 2

Author(s):

Sanjeeta Sitaula ◽

Vijay Gautam

Keyword(s):

Foreign Body ◽

Foreign Bodies ◽

Good Prognosis ◽

Ocular Motility ◽

Intravenous Antibiotics ◽

Severity Of Injury ◽

Orbital Problems ◽

Life Threatening ◽

History Of ◽

Wooden Foreign Body

Intraorbital foreign bodies are one of the commonly encountered orbital problems. They may be sight threatening due to the severity of injury or its complications and even life threatening if not managed appropriately. We present a case of a 24-year old female with history of fall injury from a tree with an impacted intraorbital wooden foreign body. The patient was treated with prophylactic intravenous antibiotics and prompt removal of the foreign body was done under general anesthesia in the operation theatre. The post operative visual recovery was excellent with significant improvement of ocular motility and limited improvement of ptosis. Hence even organic foreign bodies can have good prognosis with timely intervention.DOI: http://dx.doi.org/10.3126/jkmc.v3i3.12248Journal of Kathmandu Medical CollegeVol. 3, No. 3, Issue 9, Jul.-Sep., 2014, Page: 119-121

Download Full-text

Siderotic glaucoma without detectable intraocular foreign body in a pseudophakic eye: a case report

BMC Ophthalmology ◽

10.1186/s12886-020-01691-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Yang Huang ◽

Zi Ye ◽

Zhaohui Li

Keyword(s):

Foreign Body ◽

Rare Case ◽

Ocular Trauma ◽

Intraocular Foreign Body ◽

Close Monitoring ◽

Case Presentation ◽

Ophthalmic Examination ◽

Histopathologic Study ◽

History Of ◽

Iron Deposits

Abstract Background Ocular siderosis is induced by a retained intraocular foreign body (IOFB) containing iron and can present as siderotic glaucoma. We report a rare case of histopathologically proven siderotic glaucoma in a middle-aged blacksmith with a preceding history of ocular trauma but no radiologically detectable IOFB. Case presentation A 42-year-old blacksmith presented with an elevation of intraocular pressure (IOP) in left eye showing iris heterochromia and brownish deposits throughout the trabecular meshwork (TM). Preoperative ophthalmic examination did not reveal any retained IOFBs. Electroretinography showed the classic changes of retinal degeneration in ocular siderosis. Histopathologic staining of the TM verified the presence of iron deposits. Conclusion This case underlines the importance of the close monitoring of patients with a history of ocular trauma and highlights the necessity of electroretinography, histopathologic study, and detailed ophthalmic examination in the diagnosis of siderotic glaucoma, even if there is no definite radiologically detectable IOFB.

Download Full-text

Multiple esophageal foreign bodies in an infant: a rare case of serious parental neglect

Clinics and Practice ◽

10.4081/cp.2016.841 ◽

2016 ◽

Vol 6 (3) ◽

Author(s):

Arunabha Chakravarti ◽

Sunil Garg ◽

Rahul Bhargava

Keyword(s):

Foreign Body ◽

Rare Case ◽

Foreign Bodies ◽

Foreign Body Ingestion ◽

Parental Neglect ◽

Rigid Esophagoscopy ◽

The Family ◽

History Of ◽

Esophageal Foreign Bodies

A case of multiple esophageal foreign bodies, which were retrieved successfully by rigid esophagoscopy in a 1-year old child is being reported. There are few cases of multiple esophageal foreign bodies in children reported in the literature; this case was unique in presentation as there was no history of foreign body ingestion. This case also highlights the serious neglect present in our society towards children of lower socio-economic strata despite this child being the 1st child in the family.

Download Full-text